CAJ | 학술논문

目的总结椎基底系统动脉瘤的栓塞治疗经验.方法回顾性分析自2003年10月至2007年7月天津市环湖医院神经外科收治住院、均经血管内介入治疗的21例椎基底动脉瘤患者的临床资料,其中应用单纯电解可脱性弹簧圈(GDC)栓塞术11例,弹簧圈+Nenroform支架治疗9例,JOSTENT冠脉覆膜支架治疗1例.结果 21例行栓塞治疗患者预后良好19例,重残1例,死亡1例(心衰),术后发生脑积水行脑室-腹腔分流术4例.结论应用弹簧圈、支架和覆膜支架是治疗椎基底动脉瘤的有效方法 ,椎基底动脉瘤可以通过血管内治疗取到良好效果.
목적 총결추기저계통동맥류적전새치료경험.방법 회고성분석자2003년10월지2007년7월천진시배호의원신경외과수치주원、균경혈관내개입치료적21례추기저동맥류환자적림상자료,기중응용단순전해가탈성탄황권(GDC)전새술11례,탄황권+Nenroform지가치료9례,JOSTENT관맥복막지가치료1례.결과 21례행전새치료환자예후량호19례,중잔1례,사망1례(심쇠),술후발생뇌적수행뇌실-복강분류술4례.결론 응용탄황권、지가화복막지가시치료추기저동맥류적유효방법 ,추기저동맥류가이통과혈관내치료취도량호효과.
Objective To summarize our experience with endovascular treatment of vertibrobasilar aneurysms. Methods The clinical data of 21 patients with vertibrobasilar aneurysms admitted between October, 2003 and July, 2007 were retrospectively analyzed. All the 21 patients received endovascular embolization, of whom 11 patients had embolization with Guglielmi detachable coils (GDC), 9 had GDC embolization with Neuroform stent placement, and 1 patient was managed with covered stent placement in the parent artery. Results After the operations, 19 patients were clinically cured with good prognosis, 1 patient was severely disabled, and 1 died due to heart failure. Four patients underwent ventriculo-peritoneal shunting for postoperative hydrocephalus. Conclusions Endovascular embolization with GDC and placement of Neuroform stent and covered stent are effective options for management of vertibrobasilar aneurysms, and most of the vertibrobasilar aneurysms can be treated effectively by these approaches.